CLEMENTINA BAUTISTA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204434

License Status

ACTIVE

Business

First Name

CLEMENTINA

Last Name

BAUTISTA

Business Name

CLEMENTINA BAUTISTA

Original Issue Date

05/26/2011

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/17/2026